| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,164 |
8,907 |
$606.09 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,814 |
1,766 |
$256.93 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,207 |
1,196 |
$219.86 |
| 99385 |
|
666 |
666 |
$112.96 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,809 |
1,687 |
$72.40 |
| 96127 |
|
947 |
944 |
$0.63 |
| 96160 |
|
1,819 |
1,797 |
$0.57 |
| 97802 |
|
1,351 |
1,328 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,320 |
2,287 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
185 |
184 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
999 |
979 |
$0.00 |
| 3075F |
|
810 |
783 |
$0.00 |
| 3079F |
|
794 |
765 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
432 |
430 |
$0.00 |
| 96156 |
|
941 |
937 |
$0.00 |
| 1220F |
|
61 |
60 |
$0.00 |
| 3074F |
|
2,223 |
2,100 |
$0.00 |
| 3014F |
|
129 |
122 |
$0.00 |
| 93000 |
|
19 |
19 |
$0.00 |
| 90686 |
|
24 |
24 |
$0.00 |
| 99386 |
|
94 |
94 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| 88150 |
|
89 |
89 |
$0.00 |
| 3044F |
|
111 |
104 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
14 |
$0.00 |
| 1170F |
|
15 |
15 |
$0.00 |
| 99384 |
|
15 |
15 |
$0.00 |
| 90656 |
|
14 |
14 |
$0.00 |
| 1159F |
|
379 |
377 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,321 |
1,306 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
42 |
42 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
272 |
267 |
$0.00 |
| 3051F |
|
40 |
36 |
$0.00 |
| 88143 |
|
195 |
193 |
$0.00 |
| 3078F |
|
2,690 |
2,548 |
$0.00 |
| 1160F |
|
410 |
408 |
$0.00 |
| 90658 |
|
34 |
34 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
82 |
78 |
$0.00 |
| 3077F |
|
170 |
162 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
393 |
393 |
$0.00 |
| 99401 |
|
283 |
281 |
$0.00 |
| 90662 |
|
36 |
36 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
42 |
42 |
$0.00 |
| 1158F |
|
246 |
245 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
44 |
44 |
$0.00 |